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Clay County, North Carolina · Nursing home

Clay County Health and Rehabilitation

2 of 5 overall from CMS

86 Valley Hideaway Drive, Hayesville, NC 28904

Call (828) 389-9941Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Clay County Health and Rehabilitation is a 90-bed nursing home in Hayesville, North Carolina (Clay County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.17 nurse staffing hours per resident per day, below the North Carolina average of 3.85. CMS lists no fines in the past three years.

Certified beds
90
Residents per day (average)
77.5
Certified since
1993 (33 yrs)

For profit - Corporation Participates in Medicare and MedicaidPart of Avardis Health (38 homes)

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Terms used on this page
CMS
The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
Certified beds
The number of federally certified beds CMS lists for the home.
Deficiency or citation
A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
Actual harm
Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
Immediate jeopardy
Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
Inspection cycle
A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
Special Focus Facility (SFF)
A home CMS has placed under closer oversight because of its inspection record. More about the program

Questions to ask Clay County Health and Rehabilitation

Chosen from this home's public data.

  1. CMS counts 11 health deficiencies in the latest inspection cycle (the standard inspection on May 1, 2026 plus complaint and infection-control inspections); the North Carolina average is 4.7. Which have been corrected?Inspection results in CMS data
  2. Nursing staff turnover is 49.4%, above the North Carolina average of 49.0%. How often would the same aides care for my relative?Turnover in CMS data
  3. Registered nurse time is 0.39 hours per resident per day; the North Carolina average is 0.62. Is an RN on site overnight?RN staffing in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the North Carolina average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 13 hours. The vertical line marks the North Carolina average; the national average for all nursing staff is 3.86 hours.

Quality measures

CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the North Carolina and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.

Long-stay residents

MeasureThis homeNorth CarolinaU.S.
★ Percentage of long-stay residents whose need for help with daily activities has increased 14.0% 15.6% 13.9%
Percentage of long-stay residents who lose too much weight 9.7% 7.2% 5.2%
★ Percentage of long-stay residents with a catheter inserted and left in their bladder 1.9% 0.7% 0.8%
★ Percentage of long-stay residents with a urinary tract infection 0.7% 2.3% 1.6%
Percentage of long-stay residents who have depressive symptoms 1.9% 5.9% 12.8%
Percentage of long-stay residents who were physically restrained 0.0% 0.0% 0.1%
★ Percentage of long-stay residents experiencing one or more falls with major injury 5.7% 3.5% 3.2%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.8% 92.0% 93.6%
★ Percentage of long-stay residents whose ability to walk independently worsened 17.1% 18.3% 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.2% 21.3% 19.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5% 94.1% 95.5%
★ Percentage of long-stay residents with pressure ulcers 6.5% 5.5% 4.6%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.7% 20.7% 19.0%
★ Percentage of long-stay residents who received an antipsychotic medication 22.7% 14.0% 15.4%
★ Number of hospitalizations per 1000 long-stay resident days 1.16 1.78 1.90
★ Number of outpatient emergency department visits per 1000 long-stay resident days 3.01 1.80 1.78

Short-stay residents

MeasureThis homeNorth CarolinaU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 67.4% 80.6% 82.0%
★ Percentage of short-stay residents who newly received an antipsychotic medication 0.0% 1.4% 1.6%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.9% 78.1% 79.8%
★ Percentage of short-stay residents who were rehospitalized after a nursing home admission 15.9% 22.9% 23.8%
★ Percentage of short-stay residents who had an outpatient emergency department visit 15.7% 12.9% 12.0%

Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov

Inspection history

Inspectors cited 17 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.

Deficiencies by inspection cycle
Standard inspectionHealthFire safety
May 1, 2026116
Feb 27, 202532
Oct 26, 202331

North Carolina homes averaged 4.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.

Health citations, three most recent inspection cycles (17)

  1. FPotential for more than minimal harm, widespread

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Infection Control · Deficient, Provider has date of correction (May 28, 2026)

  2. EPotential for more than minimal harm, pattern

    Ensure that residents are free from significant medication errors.

    Pharmacy Service · Deficient, Provider has date of correction (May 28, 2026)

  3. DPotential for more than minimal harm, isolated

    Provide enough food/fluids to maintain a resident's health.

    Quality of Life and Care · Deficient, Provider has date of correction (May 28, 2026)

  4. DPotential for more than minimal harm, isolated

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Nursing and Physician Services · Deficient, Provider has date of correction (May 28, 2026)

  5. DPotential for more than minimal harm, isolated

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pharmacy Service · Deficient, Provider has date of correction (May 28, 2026)

Show 12 more

  1. DPotential for more than minimal harm, isolated

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Pharmacy Service · Deficient, Provider has date of correction (May 28, 2026)

  2. DPotential for more than minimal harm, isolated

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pharmacy Service · Deficient, Provider has date of correction (May 28, 2026)

  3. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (May 28, 2026)

  4. DPotential for more than minimal harm, isolated

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Infection Control · Deficient, Provider has date of correction (May 28, 2026)

  5. DPotential for more than minimal harm, isolated

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Infection Control · Deficient, Provider has date of correction (May 28, 2026)

  6. BPotential for minimal harm, pattern

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Nursing and Physician Services · Deficient, Provider has plan of correction (May 28, 2026)

  7. EPotential for more than minimal harm, pattern

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 25, 2025)

  8. DPotential for more than minimal harm, isolated

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 25, 2025)

  9. DPotential for more than minimal harm, isolated

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Quality of Life and Care · Deficient, Provider has date of correction (Mar 25, 2025)

  10. EPotential for more than minimal harm, pattern

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pharmacy Service · Deficient, Provider has date of correction (Nov 21, 2023)

  11. EPotential for more than minimal harm, pattern

    Ensure that residents are free from significant medication errors.

    Pharmacy Service · Deficient, Provider has date of correction (Nov 21, 2023)

  12. EPotential for more than minimal harm, pattern

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Nov 21, 2023)

What severity letters A to L mean

Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".

Penalties, past three years

CMS lists no fines or payment denials for this home in the past three years.

North Carolina homes averaged 1.2 fines and $36,617 in fine amounts; the national averages are 0.9 and $30,972.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within North Carolina

Common questions

What is the CMS star rating for Clay County Health and Rehabilitation?

Clay County Health and Rehabilitation has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 3 and quality measures is 3.

How many beds does Clay County Health and Rehabilitation have?

Clay County Health and Rehabilitation has 90 certified beds. It averages 77.5 residents per day, about 86.1% of its certified beds.

How much nursing care do residents get at Clay County Health and Rehabilitation?

The home reports 3.17 hours of nurse staffing per resident per day, including 0.39 hours from registered nurses. The North Carolina average is 3.85 hours and 0.62 hours from registered nurses.

Has Clay County Health and Rehabilitation been fined?

CMS lists no fines for this home in the past three years.

Does Clay County Health and Rehabilitation accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Guides for families looking at this home

Nearest nursing homes

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Who to call in North Carolina

These offices serve residents of every nursing home in North Carolina.

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Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 345433. See this home's official record on Medicare.gov

See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.